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相關文獻
- The Dilemma in the Diagnosis of Acute Scrotum: Clinical Clues for Differentiating between Testicular Torsion and Epididymo-Orchitis
- Application of Duplex Color Doppler Sonography in the Diagnosis of Testicular Torsion--A Case Report
- 睪丸扭轉症
- Torsion of Testis
- Clinical Presentation of Acute Scrotum in Young Males
頁籤選單縮合
題 名 | The Dilemma in the Diagnosis of Acute Scrotum: Clinical Clues for Differentiating between Testicular Torsion and Epididymo-Orchitis=診斷急性陰囊疼痛之困難:更多區別睪丸扭轉與睪丸附睪丸炎的臨床線索 |
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作 者 | 虞凱傑; 王大民; 陳孝文; 王敘涵; | 書刊名 | 長庚醫誌 |
卷 期 | 35:1 2012.01-02[民101.01-02] |
頁 次 | 頁38-45 |
分類號 | 415.87 |
關鍵詞 | 睪丸扭轉; 疼痛時間; 疼痛側位; Testicular torsion; Pain duration; Laterality; |
語 文 | 英文(English) |
英文摘要 | Background: Acute painful scrotum is one of the most challenging urological emergencies. Irreversible parenchymal damage will develop if a testicle is twisted. The aim of the study was to determine the importance of different clinical clues to help differentiate the causes of this devastating condition. Methods: The medical charts of teenagers with acute scrotal pain between January 2003 and December 2008 were reviewed retrospectively. Results: Seventy-six patients were included in this study, including 47 initially suspected of having testicular torsion and 29 suspected of having epididymoorchitis. Testicular torsion was confirmed in 39 of the suspected 47 cases after surgical exploration. Twnety-one of these 39 testicular torsion patients underwent orchiectomy, and 18 were rescued and underwent orchiopexy. The mean pain duration was significantly longer in the orchiectomy group than the orchiopexy group (38.05 hours vs 14.14 hours, p = 0.009). In the testicular torsion group, fewer patients had elevated C-reactive protein levels no patients had pyuria, and the pain duration was shorter compared with the epididymo-orchitis group (5/11 vs 13/22 [p = 0.045], 0/28 vs 8/28 [p = 0.004] and 27.0 vs 74.5 hours [p = 0.0003], respectively). The sensitivity of color Dopper ultrasound in diagnosing testicular torsion and epididymo-orchitis was 84.09% vs 92.59%. Logistic regression for multivariate analysis showed that left side manifestation and pain duration were significantly different between testicular torsion and epididymo-orchitis with odds ratios of 4.76, p= 0.020 and 0.98, p = 0.029, respectively. Conclusions: Pain duration and left side manifestation are independent risk factors of testicular torsion. Prompt surgical exploration should be done if testicular torsion is highly suspected. |
本系統中英文摘要資訊取自各篇刊載內容。